Azathioprine-Induced Anagen Effluvium in an Adolescent Girl: A Case Report

    Devaraj Y, Harshini J, S aacute nchez-de la Rosa R, Lakshmi Gayathri N, Jayaprakash M H, Rakshith D, Kajagar M B, Harinath S
    TLDR Stopping azathioprine led to hair regrowth in a girl who lost hair due to the drug.
    A 14-year-old girl developed sudden diffuse non-scarring scalp alopecia five days after starting azathioprine for hypertrophic lichen planus, indicating a rare case of azathioprine-induced anagen effluvium. Clinical examination and hair microscopy confirmed the diagnosis, and the Naranjo Adverse Drug Reaction Probability Scale score suggested a probable link to azathioprine. Upon discontinuation of the drug and initiation of alternative therapy, significant hair regrowth was observed within two months. This case underscores the importance of early recognition and withdrawal of azathioprine to ensure complete hair recovery.
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